Colorectal Cancer Screening for Average‐Risk Adults
Recommendations
The ACS recommends that adults aged 45 years and older with an average risk of colorectal cancer undergo regular screening with either a high‐sensitivity stool‐based test or a structural (visual) examination, depending on patient preference and test availability. As a part of the screening process, all positive results on noncolonoscopy screening tests should be followed up with timely colonoscopy.
- begin screening at age 45 years
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- regular screening in adults aged 50 years and older
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When to Stop CRC Screening
The ACS recommends that average‐risk adults in good health who have a life expectancy of greater than 10 years continue colorectal cancer screening through the age of 75 years. (Qualified)
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The ACS recommends that clinicians individualize screening decisions for individuals aged 76 through 85 years, based on patient preferences, life expectancy, health status, and prior screening history. (Qualified)
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The ACS recommends that clinicians discourage individuals over age 85 years from continuing screening. (Qualified)
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Recommendation Grading
Overview
Title
Colorectal Cancer Screening for Average‐Risk Adults
Authoring Organization
American Cancer Society
Publication Month/Year
May 1, 2018
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
This guideline is intended to provide guidance to adults at average risk of CRC, to clinicians who counsel and refer patients to CRC screening, and to health care systems to support best practices in the early detection and prevention of CRC.
Target Patient Population
Patients with risk of colorectal cancer
Inclusion Criteria
Female, Male, Adult, Older adult
Health Care Settings
Ambulatory, Outpatient
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Assessment and screening, Diagnosis
Diseases/Conditions (MeSH)
D015179 - Colorectal Neoplasms, D003107 - Colorectal Surgery, D011315 - Preventive Medicine, D000076862 - Diagnostic Screening Programs
Keywords
colorectal, colorectal cancer, colorectal neoplasm, preventive care